Veterinary surgeon online referral form

If you are referring an emergency case outside office hours, please call +44 (0)151 794 6041 to make the referral instead of completing this form.

Essential information is marked with an asterisk (*)

Referring Vet details:

Owner details:


Horse details:




If the horse is insured, please answer the following:

In all cases, please elaborate on the following:

Terms and Conditions

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We will handle your data in accordance with the 1998 Data Protection Act and GDPR regulations in effect from May 25, 2018. We will not sell, licence or trade your personal details to any third party. More information about University of Liverpool data protection.